Psychometric properties of instruments used to measure the informatics competence of nurses: A systematic review

IF 3.3 3区医学 Q1 NURSING Nurse Education in Practice Pub Date : 2024-07-13 DOI:10.1016/j.nepr.2024.104070

Yue Li , Wenting Ji , Huan Chen , Xuemei Xie, Jing Yang, Jing Gao

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Abstract

Aim

This systematic review aimed to assess the psychometric properties of existing nursing informatics scales of competence and provide an evidence-based basis for selecting the most appropriate assessment instruments for specific populations.

Background

Informatics competency is one of the fundamental competencies that nurses should have. Using an informatics competency assessment instrument is an effective way to identify competency gaps and develop a professional development plan to address them. However, no systematic reviews summarizing and assessing the psychometric properties of all nursing informatics competency assessment instruments exist.

Design

This study systematically reviews measurement properties using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology.

Methods

Eight electronic databases (PubMed, Embase, Web of Science, CINAHL Complete, MEDLINE, PsychInfo, China National Knowledge Infrastructure and WanFang Data) were systematically searched from inception until January 10, 2024. Methodological quality was assessed using the COSMIN Risk of Bias Checklist. We used the COSMIN criteria to summarize and rate the psychometric properties.

Results

Twenty-seven studies reported twenty-five various versions of the instruments. Eighteen instruments assessed only one to three psychometric properties. No studies report cross-cultural effectiveness/measurement invariance and measurement error. The quality of evidence for structural validity or internal consistency for the three instruments failed to satisfy the COSMIN criteria. The SANICS-C has moderate to high-quality evidence of adequate content validity and internal consistency. In the end, the SANICS-C was an A recommendation, three instruments were C recommendations and the rest were B recommendations.

Conclusion

The Nursing Informatics Competencies Scale for Nursing Students, SANICS-C and ICAT can be used to assess the informatics competencies of undergraduate, graduate and doctoral nursing students, respectively. The C-NICAS-FR is recommended for the assessment of nurses’ informatics competence. The Self-Assessment Questionnaire for Nursing Informatics Competencies of Nursing Manager can be recommended for assessing nurse leaders’ informatics competencies. Future research needs to validate these instruments’ cross-cultural applicability further and comprehensively assess their psychometric properties. Along with emerging technologies, researchers should continually revisit and revise existing assessment instruments and develop instruments to assess the informatics competencies of nursing teachers.

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用于衡量护士信息学能力的工具的心理计量特性：系统回顾

背景信息学能力是护士应具备的基本能力之一。使用信息学能力评估工具是识别能力差距和制定专业发展计划的有效方法。本研究采用基于共识的健康测量工具选择标准（COSMIN）方法对测量属性进行了系统性回顾。方法学质量采用 COSMIN 偏倚风险检查表进行评估。我们使用 COSMIN 标准对心理测量特性进行了总结和评级。18 种工具只评估了一到三种心理测量特性。没有研究报告跨文化有效性/测量不变性和测量误差。三种工具的结构效度或内部一致性的证据质量不符合 COSMIN 标准。SANICS-C 具有中度到高质量的充分内容效度和内部一致性证据。最终，SANICS-C 被推荐为 A 级，3 种工具被推荐为 C 级，其余工具被推荐为 B 级。结论护理信息学能力量表（Nursing Informatics Competencies Scale for Nursing Students）、SANICS-C 和 ICAT 可分别用于评估本科生、研究生和博士生的信息学能力。建议使用 C-NICAS-FR 评估护士的信息学能力。护理管理者护理信息学能力自评问卷可推荐用于评估护士长的信息学能力。未来的研究需要进一步验证这些工具的跨文化适用性，并全面评估其心理测量特性。随着新兴技术的发展，研究人员应不断重新审视和修订现有的评估工具，并开发评估护理教师信息学能力的工具。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.